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Contact Information

HEALTHSERVE MEDICAL GROUP LLC
2939 KENNY RD STE 200
COLUMBUS, OH43221-2406
 Phone: 614-442-2431
 Fax: 614-442-2426
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HEALTHSERVE MEDICAL GROUP LLC

NPI # 1821422486
LBN Legal business name HEALTHSERVE MEDICAL GROUP LLC
Authorized official MICHAEL BOURLAND - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2013
Last updated 11/07/2013 - About 13 years ago
Identifiers
OH Other 1535531 STATE REGISTRATION
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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